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Individual

CHANDLER PACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
11200 GOVERNOR MANLY WAY STE 309, RALEIGH, NC 27614-7375
(919) 562-9410
Mailing address
700 SPRING FALLS DR APT 201, RALEIGH, NC 27609-9157
(757) 406-0953

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4622
NC

Other

Enumeration date
03/16/2021
Last updated
03/16/2021
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